Individual provider Active NPI

Larry Ivan Canfield, PA

  • Physician Assistant
  • Hinesville, GA
National Provider Identifier
1558538355
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
005306 Issued in NU
Practice address
780 E Oglethorpe Hwy
Hinesville, GA 31313-2808
Phone
(912) 385-0801
NPI assigned
May 12, 2008
Last updated
Sep 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 005306 GA
Physician Assistant 363A00000X 005306 NU Primary

Addresses

Primary practice location

780 E Oglethorpe Hwy
Hinesville, GA 31313-2808

Mailing address

900 Mohawk Street
Ste E.
Savannah, GA 31419
Phone (912) 925-0067

Other practice location 1

361 Commercial Dr
Savannah, GA 31406-3659
Phone (912) 355-6221

Other practice location 2

900 Mohawk Street
Ste E.
Savannah, GA 31419
Phone (912) 925-0067

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lcanfield@gscc.encitedirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080624000232 GA Practitioner - Physician Assistant 8325119068 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Primary Care Partners LLCGroup PAC ID 8022554526, 20 clinicians

Practice addresses (Care Compare)

60 Exchange St
Suite B7
Richmond Hill, GA 31324-7646
Phone (912) 756-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
005306GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
CH Specialty Services Ga LLC CurrentSince Aug 21, 2024 Accepting new patients
The Urgent Care Center of Richmond Hill, LLC CurrentSince Jun 17, 2024 Accepting new patients
St Josephs Candler Urgent Care Centers LLC CurrentSince Jun 22, 2021 Accepting new patients
Advanced Pediatric Specialists LLC Past Accepting new patients

Locations

3355 Lenox Rd NE
Ste 750
Atlanta, GA 30326
Phone (470) 682-3536

632 W Oglethorpe Hwy
Hinesville, GA 31313
Phone (912) 430-4545

780 E Oglethorpe Hwy
Hinesville, GA 31313
Phone (912) 332-7262

101 Saint Josephs Candler Dr
Ste 100
Pooler, GA 31322
Phone (912) 450-1945

2201 Pooler Pkwy
Ste 700
Pooler, GA 31322
Phone (912) 756-2273

1000 Dorset Rd
Port Wentworth, GA 31407
Phone (912) 964-1515

60 Exchange St
Ste B7
Richmond Hill, GA 31324
Phone (912) 756-2273

463 S Columbia Ave
#A
Rincon, GA 31326
Phone (912) 812-1001

318 Mall Blvd
Ste 300B
Savannah, GA 31406
Phone (912) 358-1515

361 Commercial Dr
Savannah, GA 31406
Phone (912) 355-6221

818 Abercorn St
Savannah, GA 31401
Phone (912) 756-2273

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: larry.canfield.1@31652.direct.athenahealth.com
  • Direct secure messaging: lcanfield@gscc.encitedirect.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1558538355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MOHAWK STREET",
            "address_2": "STE E.",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31419",
            "telephone_number": "912-925-0067",
            "fax_number": "912-925-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 E OGLETHORPE HWY",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313132808",
            "telephone_number": "912-385-0801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "361 Commercial Dr",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314063659",
            "country_code": "US",
            "telephone_number": "912-355-6221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Mohawk Street",
            "address_2": "Ste E.",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "31419",
            "country_code": "US",
            "telephone_number": "912-925-0067",
            "fax_number": "912-925-2381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANFIELD",
        "first_name": "LARRY",
        "middle_name": "IVAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-12",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "005306",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": "005306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lcanfield@gscc.encitedirect.com",
            "affiliation": "N",
            "address_1": "900 Mohawk Street",
            "address_2": "Ste E.",
            "city": "Savannah",
            "state": "GA",
            "country_code": "US",
            "postal_code": "31419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hinesville, GA

Sources for this page

Verify at the official NPI Registry.